| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,863 |
4,220 |
$507K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,050 |
1,278 |
$3K |
| 90697 |
|
72 |
64 |
$464.00 |
| 90677 |
|
54 |
47 |
$352.00 |
| 90670 |
|
44 |
42 |
$296.00 |
| 90680 |
|
40 |
37 |
$264.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
952 |
808 |
$211.05 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
119 |
$65.55 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
198 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
26 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
92 |
$0.00 |